The Georgia 57 form serves as a critical document for the Child Care and Parent Services (CAPS) program within the Georgia Department of Human Resources. It is designed to facilitate childcare referral and application for supplemental supervision for children in foster care. By detailing foster child information, foster care placement, child care provider specifics, and eligibility determination, it ensures a structured approach to support service access.
Embarking on the path of understanding child care services in Georgia, particularly for those in foster care, introduces the pivotal role of the Georgia 57 Form. This document, crafted by the CAPS (Childcare and Parent Services) division of the Georgia Department of Human Resources, serves as a linchpin in ensuring that foster children receive the supplemental supervision and care they need. Its sections are meticulously designed to collect pertinent information ranging from the foster child's basic records, including name, sex, date of birth, and social security number to more detailed queries about the child's educational setting, any disabilities, and ethnic background. This form not only aims to capture the foster child's data but also traces the necessary details about the foster care placement, including names and contact information of the foster parents, along with the childcare provider's details. It thoughtfully considers whether the care provided will be by relatives or non-relatives and the location of the care. Furthermore, the form delves into the technical aspects of childcare provision, such as eligibility determination, laying out a structured framework to assess the family unit size, the associated cost of care versus the maximum rates defined by DFCS, and the official certification period for the provided childcare. Its comprehensive design guarantees that every child in the foster care system has access to dependable and consistent childcare, underpinning the commitment of Georgia's Department of Human Resources to safeguard the welfare and development of its youngest and most vulnerable constituents.
Date Received by CAPS
Georgia Department of Human Resources
CHILD CARE REFERRAL & APPLICATION FOR SUPPLEMENTAL SUPERVISION
___________ County Department of Family and Children Services
A. FOSTER CHILD INFORMATION (To be completed by SSCM)
First Name MI Last Name Sex
Date
Social Security
Child
of
Number
in
Birth
School
Pre-K
Head
Start
Child has a disability
Ethnicity (check one):
Hispanic
Not Hispanic
Race (check one):
White
Black/African American
Asian
American Indian or Alaskan Native
Native Hawaiian or other Pacific Islander
B. FOSTER CARE PLACEMENT INFORMATION (To be completed by SSCM)
Foster Parent's Name
Address
Home Phone
Work Phone #
If an informal childcare provider has been chosen, check all that apply:
Relative of Child
Care provided in child's home
CRC completed
Non-Relative
Care provided in provider's home
CPS screening completed
Approved by Foster Care
All changes in the child's placement and child care arrangements MUST be reported to the child care case manager within 5 working days.
____________________________________
________________
_______________
Signature of Foster Care Case Manager
Case Load ID #
C. CHILD CARE PROVIDER INFORMATION (To be completed by the SSCM or Foster Parent)
Reason Care is Needed:
Days and Hours Care is Needed:
Date to begin CAPS: _____
Name, Address and Phone # of Childcare Provider:
Phone # :
D. ELIGIBILITY DETERMINATION (To be completed by the CAPS case manager)
1.
Family Unit Size
____
4.
Rate Within DFCS Maximum?
Yes
No
2.
UAS Code (check one):
Cost of care if not within maximum $_________
555 (Pre-K)
557
3.
Provider is:
5.
Application Disposition:
Approved
Denied
Licensed, Commissioned, or Exempt
Registered
6.
Official Certification Period:
Informal- Relative of Child
___________________ to __________________
Informal- Non-Relative
Comments:
________________________________
_____________________
Signature of CAPS Case Manager
CAPS Case Load ID #
Form 57 (3/2004)
Page 1 of 1
Filling out the Georgia 57 form is an essential step for securing supplemental supervision and childcare referrals for foster children within the state. It involves providing detailed information about the foster child, the foster care placement, choosing a childcare provider, and awaiting eligibility determination by the CAPS case manager. This step-by-step guide aims to simplify the process, enabling foster care case managers and foster parents to complete the form efficiently and accurately.
After the form is duly filled, the next step usually involves submission to the relevant department for processing. The information provided will undergo review for eligibility and determination for the supplemental supervision and childcare referral. Timely and accurate completion of the Georgia 57 form is crucial in ensuring that foster children receive the required care and supervision without unnecessary delays.
What is the Georgia 57 form?
The Georgia 57 form is a document used by the Georgia Department of Human Resources to apply for child care referral and supplemental supervision. It is specifically designed for use within the childcare assistance for foster children under the care of the State, ensuring their needs for education, disability support, and overall welfare are met through adequate childcare arrangements.
Who needs to complete the Georgia 57 form?
The form is filled out by the Special Service Case Manager (SSCM) and foster parents. It collects details about the foster child, the foster care placement, the childcare provider, and requires an eligibility determination by the Childcare and Parent Services (CAPS) case manager.
What is the process to file a Georgia 57 form?
Filing the Georgia 57 form involves several steps. Initially, the foster child's SSCM fills out the section with the child's personal information, followed by the foster care placement information. If a foster parent or SSCM has selected a child care provider, that information is also included. Finally, the CAPS case manager reviews and completes the eligibility determination. All parties must sign their respective sections before submission within the required timelines.
Can changes be made to the childcare arrangements after submitting the Georgia 57 form?
Yes, changes in the child's placement and child care arrangements can be made after submitting the form. However, these changes must be reported to the child care case manager within 5 working days to ensure the child’s welfare and care are continuously managed without interruption.
What happens if the cost of care exceeds the DFCS maximum rate?
If the cost of care exceeds the Department of Family and Children Services (DFCS) maximum rate, the specific amount that goes beyond the maximum must be documented in the Georgia 57 form. This information aids in assessing the need for additional funding or adjusting childcare arrangements to meet financial constraints.
What are the eligibility determinations made by the CAPS case manager on the form?
The CAPS case manager assesses the application based on several criteria including the family unit size, the cost of childcare, and whether the childcare provider meets the necessary licensing or registration requirements. The case manager then approves or denies the application and sets an official certification period for the childcare services.
How does one choose a childcare provider on the Georgia 57 form?
When filling out the Georgia 57 form, choices for informal childcare providers include selecting a relative of the child or a non-relative. Care could be provided in the child's home or the provider's home, with the necessary checks such as Child Protective Services (CPS) screening and Criminal Records Check (CRC) completed as needed. The chosen setting and provider must be approved by Foster Care.
What significance does the UAS code hold in the Georgia 57 form?
United Assessment System (UAS) codes, such as 555 for Pre-K, help categorize the type of care or subsidy a child is eligible for, based on their specific needs and circumstances. This categorization is crucial for the CAPS case manager in making accurate eligibility determinations and ensuring children receive appropriate care.
What documentation is required for the Georgia 57 form?
Documentation required for the Georgia 57 form includes identification and residency information for the foster child, details about the foster care placement, and selections for childcare providers including proof of their licensing or registration. Additionally, signatures from the SSCM, foster parents, and the CAPS case manager are necessary to confirm the accuracy of the information provided.
How are disabilities handled in the childcare arrangement process?
Children with disabilities are given special consideration in the childcare arrangement process. The form requires disclosing whether the child has a disability, which helps in determining the need for specialized care or support services. This ensures that all children, regardless of their abilities, receive adequate care tailored to their individual needs.
When filling out the Georgia 57 form, which is crucial for Child Care Referral & Application for Supplemental Supervision through the Georgia Department of Human Resources, individuals often encounter pitfalls that can potentially delay or affect the approval process. Understanding and avoiding these common mistakes can streamline the application process and ensure timely assistance.
Not fully completing the foster child information section (Section A). It's essential to provide detailed information including the child's first name, middle initial, last name, sex, date of birth, social security number, and specific details regarding schooling and disability status. Omitting any of this information can result in processing delays.
Incorrectly filling out the foster care placement information (Section B). This section requires accurate details about the foster parent, including name, address, and phone numbers. Also, if an informal childcare provider is chosen, correctly indicating the relationship to the child and whether certain screenings have been completed is critical. Failure to accurately report changes in the child’s placement and childcare arrangements within 5 working days can also lead to issues.
Failing to specify the reason and schedule for needed care in the child care provider information section (Section C). Clear communication about the days and hours care is needed, as well as the expected start date, helps the CAPS case manager understand the urgency and nature of the needed care.
Overlooking the eligibility determination section (Section D). This section must be filled out by the CAPS case manager, but foster parents and SSCMs should ensure that the family unit size, UAS code, type of provider, and cost of care are properly documented and fall within DFCS maximum rates where applicable.
Signing without reviewing. The final step, which requires the signatures of both the Foster Care Case Manager and the CAPS Case Manager, is often rushed. It is imperative to review all the information provided in the form to ensure its accuracy before signing.
By paying close attention to the details and requirements outlined in the Georgia 57 form, individuals can avoid these common mistakes. This attention to detail not only demonstrates a commitment to compliance but also helps in securing the best possible care and supervision for children in foster care.
When dealing with the complex realm of childcare and foster care in Georgia, the Georgia 57 form serves as a crucial document for applying for supplemental supervision. This form is just one of many documents necessary to navigate the system effectively. Accompanying forms and documents often used along with Georgia Form 57 enhance its application, ensuring a cohesive approach to child welfare and care services. The following is a list of documents typically utilized alongside the Georgia 57 form, each playing a vital role in the application process, determining eligibility, and facilitating the provision of services.
Understanding and completing these documents is essential for foster care providers, social workers, and officers within the Georgia Department of Human Resources. They ensure that every child placed in foster care receives the appropriate support, care, and services tailored to their unique needs. This comprehensive approach to documentation facilitates a seamless, efficient process that upholds the best interests of the child, aligning with Georgia's commitment to child welfare.
The Georgia 57 form is similar to the Child Care Assistance Application used in many states for enrolling children into subsidized child care programs. Both documents are crucial in determining eligibility for child care assistance, often serving families that need financial support to afford quality child care. They collect detailed information on the child's family situation, care needs, and the type of care sought, whether it's in a family home or a licensed child care center. The emphasis is on the child's safety, well-being, and developmental needs. Moreover, both forms typically require details about the child care provider, such as name, address, and phone number, and undergo a verification process to ensure the provider meets state standards. These forms also share a similar section for official use, where case managers document the eligibility determination, including approval status and the certification period for the child care assistance.
Another document the Georgia 57 form is akin to is the Foster Care Placement Agreement. This resemblance is seen primarily in the sections that detail the foster child's placement information and the foster care case manager's signature, which are vital for any child placement documentation. Like the Georgia 57 form, the Foster Care Placement Agreement requires comprehensive information about the foster child, including personal identifiers and placement settings. However, while the Georgia 57 form specifically addresses child care arrangements and supplemental supervision within the broader context of foster care, the Foster Care Placement Agreement focuses more on the terms and conditions of the foster care placement itself. Both forms serve as binding documents that formalize the arrangement between foster families and the overseeing agency, ensuring that the foster child's needs are met in a supportive, safe environment.
When filling out the Georgia 57 form, which is designed for child care referral and application for supplemental supervision in the context of foster care, there are key practices to follow as well as pitfalls to avoid. This ensures that all the required information is accurately captured, facilitating the smooth processing of the application.
By following these guidelines, applicants can facilitate a smoother and more efficient processing of the Georgia 57 form, ultimately ensuring that foster children receive the necessary child care services in a timely manner.
Misconceptions often arise when it comes to understanding specific documents. The Georgia 57 form, a critical piece in the child care referral and application process for supplemental supervision under the Georgia Department of Human Resources, is no exception. Here, four common misunderstandings are clarified to provide a clearer view of its purpose and usage.
This is a common misunderstanding. While foster parents do provide essential information, especially in section B regarding foster care placement, the form also requires input from the SSCM (Service Coordinator Case Manager) for sections related to the foster child's information and child care provider details. Even CAPS (Childcare and Parent Services) case managers fill out a portion, making it a collaborative document.
Another misunderstanding is that foster parents or SSCMs have absolute freedom in selecting a childcare provider. Section C and D clarify that selected childcare providers must meet specific eligibility criteria, such as being licensed, commissioned, or exempt registered. Informal care, whether by a relative or non-relative, must be approved by foster care, and all options need a thorough screening process.
The form is indeed an integral part of the application process for supplemental supervised child care. However, submitting the form doesn't guarantee immediate approval. Section D, titled 'ELIGIBILITY DETERMINATION', involves a detailed review process by a CAPS case manager, including family unit size, care provider status, and overall cost considerations against DFCS maximum limits.
It's crucial to understand that any changes in the child's placement or child care arrangements require immediate reporting to the child care case manager within 5 working days. This is vital for maintaining an up-to-date understanding of the child's care situation and ensures continuous and proper support.
Correcting these misconceptions about the Georgia 57 form is vital for all involved parties to navigate the processes of securing and updating supplemental child care supervision effectively. It underscores the importance of detailed cooperation among foster parents, SSCMs, and CAPS case managers to support the well-being and care of foster children within Georgia.
The Georgia 57 form is a critical document used in the State of Georgia to facilitate and manage child care referrals and supplemental supervision for foster children. When filling out and using this form, several key points must be kept in mind to ensure that it is completed accurately and effectively. Below are five key takeaways regarding the Georgia 57 form.
Understanding these key elements of the Georgia 57 form can streamline the process of securing appropriate child care for foster children, ensuring their needs are adequately met in a timely and organized manner. It is a vital instrument in the collaboration between foster care case managers, foster parents, and child care providers within the state of Georgia.
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